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3200 F STREET FMC 2013
HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. Permit No. Permit No. AST UST Permit No. Permit No. 3— /d ©EL10 7 File Number: 7/3// Address: 13lz C 0 I S -F- Bakersfield, CA 933 Date Received: -Z---( c Business Name: — A.,tL(o SYSTEM: BUILDING SQUARE FEET: r INSPECTION LOG New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: 1. Fire Sprinkler System Z. Spray Finish System 3. Aboveground Storage Tank 4. Date Time 1.3 Underground Storage Tank minor Signature modification Underground Storage Tank removal Underground Storage Tank Signature Q Other: /'"4"( C- Comments: TE64 ; STC-w22T 6&Odfy I Cc, 8Jy I q 38' yP j %+1 LJ2-4t-A2/ /Z c,311y BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL . PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK-TESTING - ,_ - - -- - UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST-REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR _TO OPERATION OF ANY SYSTEM,- ALL -UST AND /OR AST- SYSTEMS SHALL BE INSTALL,_ COMPLETE AND ACCEPTED BY MISC. ACTIVITY I THE_BAKERSFIELD CITY FIRE DEPARTMENT. r FIRE-DEPARTMENT (FINAL)- 28 REMARKS: BUILDING ADDRESS: JOB DESCRIPTION: =LA A- L OCCUPANCY TYPE: 23 OWNER: -1 ltAd (o c L PERMIT NO. 13 -/Q (2 CONTRACTOR: /-%'. C C n ft)5T'- • PHONE #& 3c4 -5 TS FD 1743 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # ENHANCED LEAK DETECTION TANK TIGHTNESS A, IR 29 P IV FIRM ARTAF T BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION SITE INFORMATION . FACILITY t S NAME & PHONE # OF CONTACT PERSON ADDRESS _ Zc/U OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS TANK TESTING COMPANY TESTING COMPANY // r 7 LL I } - ru.G-i a NAME & PHONE # OF CONTACT PERSON MAILING ADDRESS G A (.16-7 f, LV4 C773 NAMY PHONE # F TESTER OR SPECIAL INSPECTOR C CERTIFICATION # DATE & TIME TEST TO BE CONDUCTED z -y -i3 ICC # zyZ3 i TEST METHOD APPLICANTS URE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROV DATE. FD2095 (Rev 03/08)